Preventing the ITU syndrome or how not to torture an ITU patient! Part I

Dyer, Ian

doi:10.1016/s0964-3397(95)80618-0

Cited by 46 publications

(44 citation statements)

References 55 publications

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“…The occurrence of flashbacks, hallucinations and nightmares has been well recorded in patients who have been admitted to ICU (Scragg et al ., 2001). The patients’ illness itself, together with the use of sedative and opiate drugs, withdrawal from alcohol and /or prescribed drugs and the unnatural environment of ICU, has profound effects (Biley, 1994; Dyer, 1995; Black et al ., 1997; Smith et al ., 1997). This may predispose the ICU patient to frightening experiences such as nightmares.…”

Section: Discussionmentioning

confidence: 99%

Immediate follow‐up after ICU discharge: establishment of a service and initial experiences

Strahan¹,

McCormick²,

Uprichard³

et al. 2003

Nursing in Critical Care

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Follow-up of patients discharged from the intensive care unit (ICU) is recommended as a means of service evaluation (Department of Health (2000). Comprehensive Critical Care: a Review of Adult Critical Care Services), in order to monitor the quality of the services provided Without patient follow-up, ICU staff have only 'death' or 'discharge alive from hospital' as clinical outcomes from which to judge practice performance, and limited evidence exists on which to base decisions about improvements to critical care practice (Audit Commission (1999). Critical to Success--the Place of Efficient and Effective Critical Care Services Within the Acute Hospital) To address these issues the Regional Intensive Care Unit (RICU) obtained information from patient assessment/interview on problems experienced by patients within 8-9 days (mean), following discharge from RICU A nurse-administered questionnaire was used to identify functional outcomes, nutrition and psychological issues such as anxiety and sleep disturbances Benefits of patient follow-up introduced and planned include: patient diaries for long-term patients, input from clinical psychologis, review of sedation used in RICU.

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Section: Discussionmentioning

confidence: 99%

Immediate follow‐up after ICU discharge: establishment of a service and initial experiences

Strahan¹,

McCormick²,

Uprichard³

et al. 2003

Nursing in Critical Care

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show abstract

“…Critical care often offers a rather stark contrast to the follow‐up clinic. In the former, patients have oppressive regimes imposed upon them (Dyer, 1995a,b), whilst in the clinic, it may be expected that the patient will develop a proactive attitude and determination to get back to ‘normality’. The implications for those wanting to help patients recovering from critical illness and encourage independence are significant.…”

Section: Motivation For Attendance Problems and Help From Clinic Staffmentioning

confidence: 99%

Developing and evaluating critical care follow‐up

Cutler

Brightmore²,

Colqhoun³

et al. 2003

Nursing in Critical Care

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The effects of critical illness not only affect the patient and relative during the intensive care stay but often affect for a considerable time afterwards. A growing body of opinion and evidence suggests that many of the needs of those who have been critically ill can be met through critical care follow-up services. A growing number of follow-up services now exist. Their establishment, development and evaluation pose significant challenges for those involved. This paper describes Bassetlaw hospital's critical care follow-up service, how it was established and what an elementary service evaluation project has shown. The findings and experiences are compared with others in published literature, and the paper may be of interest to those who are currently involved in follow-up or who plan to develop such services in the future.

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“…(p. 112) There is more patient privacy today. Dyer (1995) argues that ICUs have features in common with torture. Patients are secured in isolation; lack visual stimulation (often looking at a blank ceiling); are time disorientated; are sensory overloaded with meaningless noise, both mechanical and human; are often in pain and thirsty; and are moved into uncomfortable body positions over which the patient has no control.…”

Section: Ics Revisitedmentioning

confidence: 99%

Coming out of Intensive Care Crazy: Dreams of Affliction

Richman

2000

Qual Health Res

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The impetus for this article was the author's experience of illness, necessitating 5 months of hospitalization, 7 weeks of which were spent in a coma in an intensive care unit (ICU). The origins and general characteristics of ICUs are noted. A pastiche of illness narrative is constructed to allow for the author's own comment on his experience. The intensive care syndrome (ICS), a permeable category, continuing the aftermath of surgery and the social, psychological, mechanical, and pharmaceutical effects of the unit itself, is discussed. Dreams of affliction, a component of the ICS, are explored; the prior sociological history of the neglect of dreams, an essential universal, is also pointed out. The author's dream forms and their shamanistic parallels are explored. In Foucauldian language, they are considered a product of the fragmentation of the cosmological spirit, whereas the author was a medical object and mechanical appendage. Nursing is in a strategic position to make patients' dream narratives their own as an aid for understanding illness.

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Preventing the ITU syndrome or how not to torture an ITU patient! Part I

Cited by 46 publications

References 55 publications

Immediate follow‐up after ICU discharge: establishment of a service and initial experiences

Immediate follow‐up after ICU discharge: establishment of a service and initial experiences

Developing and evaluating critical care follow‐up

Coming out of Intensive Care Crazy: Dreams of Affliction

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